MEDICARE: SEAN WEBSTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1548108277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN WEBSTER MD

Provider Business Mailing Address
First Line	:	3181 SW SAM JACKSON PARK RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3098
Country	:	US
Telephone Number	:	503-494-8211
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 DAGGETT AVE STE 100
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-1130
Country	:	US
Telephone Number	:	541-274-4611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/26/2026

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Directions to “ SEAN WEBSTER MD” Practice Location

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